Factors Predicting Fear of Activity in Patients with Coronary Artery Disease after Percutaneous Coronary Intervention
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Abstract
Purpose: To determine the factors predicting fear of activity in patients with coronary artery disease after percutaneous coronary intervention.
Design: A cross-sectional research design.
Methods: The sample consisted of 108 patients with coronary artery disease after percutaneous coronary intervention who received follow-up care at the outpatient department of a super tertiary hospital. Data were collected using a personal data questionnaire, Tampa Scale for Kinesiophobia Heart, Frail Scale Questionnaire, Brief-Illness Perception Questionnaire, Family Support Questionnaire, and Neighborhood Scales. Data were analyzed by using descriptive statistics and multiple linear regression.
Main findings: All study factors could together explain 57.3% (R2 = .573) of the variance in the fear of activity in patients with coronary artery disease who had undergone percutaneous coronary intervention. The significant predictors of fear of activity were family support (β = .41, p < .001), illness perception (β = .27, p = .007), frailty (β = .24, p = .001), and neighborhood (β = - .19, p = .048).
Conclusion and recommendations: Nurses should develop guidelines for managing fear of activity among patients with coronary artery disease after percutaneous coronary intervention, reduce frailty, provide education to reduce threatening illness perceptions, promote the appropriate involvement of family members in care, and foster a safe environment that facilitates activity.
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